Mathiasen, Ronald
Mathiasen, Ronald is an individual health care provider with primary practice located at 10670 Wexford St , San Diego CA 92131-3940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Mathiasen, Ronald can be contacted via phone (858) 621-4090.Contact Information
Primary practice address
10670 Wexford St
San Diego CA 92131-3940
Phone: (858) 621-4090
Fax: (858) 621-4044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | A064829 | California |
Profile Details
| NPI number | 1790740629 |
|---|---|
| LBN Legal business name | Mathiasen, Ronald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Jun 25th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790740629 | NPPES |
| California | Other | 020045191 | RAILROAD |
| California | MEDICAID | 00A648290 | RAILROAD |
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